Supplier Information Form

Barclay continuously searches for potential vendor relationships with Women, Minority, Service Disabled Veteran owned businesses. If your firm qualifies and you would like to explore becoming a Barclay vendor, please fill out the form below and we will be pleased to evaluate your products/services for consideration.

* Required

First Name *

Last Name *

Supplier Company Name *

Supplier Contact Person *

Supplier Contact Title *

Phone Number *

Email Address *

Remit to Address - Number and Street *

Remit to Address - City *

Remit to Address -State *

Remit to Address -Zip Code *

Primary Company Website: *

Number of Employees *

Do you qualify as a Minority Supplier? (MBE, WBE, SDVOB)*

If yes, please list current Minority Certifications: *

Agency Granting Certification(s) *

Veteran Business Level

Brief description of your product or service *

Additional Comments:

Prove you're not a robot *